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Decolonizing Healthcare Innovation: Low-Cost Solutions from Low-Income Countries
Abstract
This fascinating book offers a pathway for the NHS to adopt low-cost but effective innovations from areas of the world traditionally seen as beneficiaries rather than providers of help and support. In an era of increasing demand and dwindling resources, and where the COVID-19 pandemic has illustrated the structural limitations of the current system, the book provides examples of simple, frugal but high-quality alternatives to current practice. From orthopaedics to paediatrics, and mental health to plastic surgery, the book illustrates how low- and middle-income countries have found solutions to healthcare issues that are not only safe and clinically effective but also have the potential to save the NHS millions of pounds. Grounded in the contemporary debates of decolonization, it invites readers to question the culture and systems in global health that view low-income countries as solely passive recipients of aid. The volume will be essential reading for students and scholars across Public Health, Global Health, and Development Studies, as well as healthcare managers and policy makers in the UK and beyond.
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There is an unconscious bias that the 'correct' direction of knowledge transfer flows from HICs to LMICs.
“There is an unconscious bias that the ‘correct’ direction of knowledge transfer flows from HICs to LMICs [36].”
The bi-directional flow of innovations between settings and the adoption of frugal innovations by the NHS are increasingly important when solving implementation problems such as providing family-centred care for children with complex neurodisability.
“The bi-directional flow of innovations between settings and the adoption of frugal innovations by the NHS are increasingly important when solving implementation problems [36], such as the challenges documented above in providing family-centred care for children with complex neurodisability.”
The co-adaptation of "Baby Ubuntu" to form the "Encompass" programme is an example of a 'decolonised healthcare innovation', as the programme was developed and implemented in LMICs and considered to be a potential frugal innovation for a resource-constrained setting in the UK.
“The co-adaptation of “Baby Ubuntu” to form the “Encompass” programme is an example of a ‘decolonised healthcare innovation’ [36], as the programme was developed and implemented in LMICs and considered to be a potential frugal innovation for a resource-constrained setting in the UK.”
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Environmental sustainability in healthcare systems: role of frugal innovation
Brown, C., Bhatti, Y., & Harris, M. J. (2023) · BMJ · doi:10.1136/bmj-2023-076381 · Cited by 27
Self-citationAdopting a pedagogy of connection for medical education
Filho, C., & Hafferty, F. W. (2024) · Medical Education · doi:10.1111/medu.15486 · Cited by 23
Global health reciprocal innovation: ethical, legal and regulatory considerations
Rid, A., Aguilera, B., Banda, C., Divi, R. L., Harris, M. J., Kim, A. J. H., Ossandon, M. R., Zervos, J., & Rowthorn, V. (2024) · BMJ Global Health · doi:10.1136/bmjgh-2023-014693 · Cited by 10
Self-citationDecolonising Global Health: a scoping reviewPreprint
Stewart, D. E., Baye, T. A., Fairfoot, E., Keen, D., Keenan, J., Butcher, F. C., Miles, K., & Razavi, A. (2025) · medRxiv · doi:10.1101/2025.03.26.25324588 · Cited by 6
The case for global health reciprocal innovation
Kupfer, L. E., Anand, N. P., Ott, J., Divi, R. L., Gaist, P., Gopal-Srivastava, R., Horvath-Marques, A., Martin, D. N., Ordóñez, A. E., Rangel‐Gomez, M., et al. (2024) · BMJ Global Health · doi:10.1136/bmjgh-2023-013582 · Cited by 5
Prest, K., Barnicot, K., Hurt, C., Badenhorst, F., Borek, A., Whyte, M., Harniess, P., Jannath, A., Lassman, R., Morris, C., et al. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22071144 · Cited by 4
Implementing healthcare decolonisation for Indigenous people: a systematic review
Kairuz, C. A., Hunter, K., Bennett‐Brook, K., Rojas, I., Herzog, S., Barnier, B., Porykali, B., Yadav, U. N., Crichton, B., Falleni, P., et al. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02705-x · Cited by 4
Prest, K., Harden, A., Barnicot, K., & Heys, M. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-025-01619-3 · Cited by 4
Frugal and reverse innovations in emergency medicine: a concepts piece
Asfand-E-Yar, B., Jafar, A. J. N., Harris, M., Weber, E. J., & Bhatti, Y. (2026) · Emergency Medicine Journal · doi:10.1136/emermed-2024-214235 · Cited by 1
Self-citationHarris, M. J. (2024) · BMJ · doi:10.1136/bmj.q1926 · Cited by 1
Self-citationPrest, K., Barnicot, K., Drew, S., Hurt, C. S., Nicklin, D., Harden, A., & Heys, M. (2026) · medRxiv · doi:10.64898/2026.02.11.26346104
From Brazil to the UK and back: Bidirectional learning through community health worker partnerships
Marinho, M. C., Aldossary, H., Nair, P., Bharmal, A. V., de Souza, J. T. V., da Silva, D. O. M., Harris, M., JATOBÁ, A. A., & Junghans, C. (2026) · BMJ Leader · doi:10.1136/leader-2025-001453
Self-citationLegitimacy Mechanisms for the Diffusion of Reverse Innovation
Irfan, F., Ooms, W., Voinea, C. L., & Caniëls, M. C. J. (2026) · Journal of Product Innovation Management · doi:10.1111/jpim.70055
Gaudenzi, G., Iorio, C., Elimian, K., Abebe, H. G., Boum, Y., Alfvén, T., Fröding, B. E. E., & Greenbrook, J. T. V. (2026) · Asian Bioethics Review · doi:10.1007/s41649-026-00419-y
Contemporary accounts and future directions for decolonising global health: A scoping review
Stewart, D. E., Amsalu, T., Fairfoot, E., Keen, D., Keenan, J., Butcher, F. C., Miles, K., & Razavi, A. (2026) · Public Health in Practice · doi:10.1016/j.puhip.2026.100874 · Cited by 6
Metadata
- Authors
- Harris, M.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Harris, Matthew
- ORCID
- Harris, Matthew
- Venue
- Routledge eBooks
- Publisher
- Routledge
- Published
- 2023-06-26
- OpenAlex
- W4382065212
- Cited by
- 15
- References
- 0
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 4 · 2023: 1
- FWCI
- 9.90
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Social Sciences › Business, Management and Accounting › Business and International Management › Innovation and Socioeconomic Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
- Keywords
- decolonization, healthcare innovation, National Health Service, low- and middle-income countries, global health, health support, COVID-19 pandemic, orthopedics, pediatrics, mental health, plastic surgery, healthcare cost reduction, health care reform
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